article Flashcards
Topics to include in an enviormental history are:
hobbies, recent remodoling of home, age of the home, type of heating, near by industries
Will indoor or outdoor air pollientes have a greater effect on health?
Indoor (most amerian’s spend about 90% of time inside)
what are aspergillium, penicillium, and stachybotrys examples of?
Mold
What health effects have been linked to mold?
allergic symptoms, respiratory irritation, and asthma exacerbations (NOT pulmonary hemorrhage or Cancer).
What is the doiagnostic test for mold?
None
and the only thing really helpful for inspecting the home is visual inspection since there is no “normal” limit.
What are volatile organic chemicals? what are they seen in?
carbon + hydorgen chemicals
they usually have at least one phenol - ring
seen paint stabilizers and adhesives and in some pesti- cides and wood preservatives.
What are the health effects of VOCs?
respiratory mucous membrane irritation and symptoms (burrning, itch eyes, cough, congestion).
Recommended dx test for VOCs?
None
When is Radon released?
radioactive decay from radim. used in home foundadtion and building materials.
What are the potential health effects of Radon?
lung cancer (especially if coupled with smoking) 2nd most common cause of lung cancer
What can create products of combustion (Co2, NO2, particulate matter)?
Cooking with gas ranges, burning wood in fireplaces or wood stoves, and back draft of exhaust flues
What health problems can products of combustion cause?
irritate mucus membranes
exacerbate asthma
increased suseptablity to lung infections
What can smoking in the home do?
leave residues in the air that cause increased lower respiratory tract infections, mucous membrane irritation, and lung cancer.
What are the six ‘‘criteria pollutants’’ that the EPA has limited in the air concentration over time?
PM, NO2, ground-level ozone (O3), sulfur dioxide (SO2), CO, and lead.
What is particulate matter?
dirt, dust, smoke, or droplets resulting from combustion or chemical reactions that produce aerosols
what do PMs do to the body?
induce inflammatory responces within the airways.
increase the risk of lung cancer
How is NO2 generated?
fossil fuel combustion and through the ox- idation of nitrogen oxide
What effects can NO2 cause to the resirotory system?
increase in susceptibility to respiratory infections (especially in pediatric and elderly patient groups), worsening asthma symptoms, and severe lung injury resulting in death when exposure occurs in confined spaces without adequate ventilation
What is the other possible concern with NO2 not discussed in the class notes?
cardiovascular disease (cardiac failure, ischemic heart disease, and myocardial infarction).
What is the adverse effect of O3?
respiratory irritant
respiratory inflammatory
what are sulfer dioxide substances?
coal, crude oil, and metal ores
what are the health effects of sulfer dioxide exposure?
cough and decreased lung function, and aggravation of pre-existing cardiovascular and respiratory illnesses.
What are the acuate and chonic effects of CO exposure?
headache, nausea, vomiting, and lightheadedness, adverse cardio- vascular events such as angina,
How is lead released into the air?
by processes that include coal and waste burning, metal mining/smelting and other industrial processes, and volcanic emissions.
What is the tool that the EPA uses to infrom us about the qulity of outdoor air?
AQI
100 = national air qulity standard
below 100 = good
above 100 = bad
What is currently the major rout of lead exposure in the US
car battery production, living in older homes containing lead paint, demolition of older homes painted with lead paint, lead paint removal activities, and, more recently, toys painted with leaded paint.
What is lead exposure associated with?
neurologic, hematologic, renal, reproductive problems
What are the signs of acute lead posining?
headaces irritablity abdominal pain sleeplessness restlessness confusion reduced consciousness and aute psycosis
what are the signs of chronic lead posining?
encephlopathy, nephropathy, hypertension, anemia
deficiencies in memory and learning
periferal motor neuropathy, slow sensory motor reaction
changes in visual/motor preformacne, memory, attention, verbal comprehension
anemia
spontanious abortion/reduced sperm count
low body weight
at what age should lead screening begin?
9-12 months old then test again at 24 months
what is the primary route of human exposure to murcry?
Inhalation of elemental mercury vapor, 80% of which is taken up by the lungs.
what are the acute and chonic effects of elemental murcury exposure?
cough, dyspnea, fever, tremors, malaise, axonal sensorimotor polyneuropathy, gingivitis, delusions, and hallucinations.
What is Erethism?
a syndrome that consists of intention tremor, excitability, memory loss, insomnia, timidity, and delirium. it is caused by chronic exposure to elemental mercury.